I-Quinidine

-Delile

• Ngaphambi kokuthatha i-quinidine,
• I-Quinidine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

Ukuthatha izidakamizwa ezilwa nesigqi, kufaka phakathi i-quinidine, kungandisa ingozi yokufa. Tshela udokotela wakho uma unesifo senhliziyo njengenkinga ye-valve noma ukwehluleka kwenhliziyo (HF; isimo lapho inhliziyo ingakwazi ukupompa igazi elanele kwezinye izingxenye zomzimba). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba.

Khuluma nodokotela wakho ngezingozi zokuthatha i-quinidine. I-Quinidine ingakhuphula amathuba okuba ne-arrhythmias (ukushaya kwenhliziyo okungajwayelekile) futhi ayikafakazelwa ukuthi isiza abantu ngaphandle kwama-arrhythmias asongela impilo ukuthi baphile isikhathi eside.

I-Quinidine isetshenziselwa ukwelapha izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile. I-Quinidine isekilasini lemithi ebizwa ngemithi elwa nesifo somzimba. Isebenza ngokwenza inhliziyo yakho imelane kakhulu nomsebenzi ongajwayelekile.

I-Quinidine iza njengethebhulethi (i-quinidine sulfate) kanye nethebhulethi ekhishwa isikhathi eside (i-long-acting) (i-quinidine gluconate) ezothathwa ngomlomo. Amaphilisi e-Quinidine sulphate ajwayele ukuthathwa njalo emahoreni ayisithupha. Amaphilisi we-quinidine gluconate anwetshiwe ngokuvamile athathwa njalo emahoreni ayisishiyagalombili kuya kwayi-12. Thatha i-quinidine ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-quinidine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Ithebhulethi ekhishwa enwetshiwe ingahlukaniswa phakathi. Gwinya wonke amaphilisi noma uhhafu wonke; ungawahlafune noma uwachoboze.

I-Quinidine iyasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka nokuthatha i-quinidine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-quinidine ngaphandle kokukhuluma nodokotela wakho.

I-Quinidine kwesinye isikhathi isetshenziselwa ukwelapha umalaleveva. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Ngaphambi kokuthatha i-quinidine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-quinidine, i-quinine, noma esinye isidakamizwa.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: acetazolamide; i-amiodarone (i-Nexterone, i-Pacerone); imishanguzo; ama-calcium channel blocker afana ne-diltiazem (Cardizem, Cartia, Diltzac, abanye), felodipine, nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine, noma verapamil (Calan, Covera, Verelan, eTarka); i-cimetidine (iTagamet HB); imikhiqizo ye-codeine; i-digoxin (i-Lanoxin); isisu (‘amaphilisi amanzi’); ketoconazole; imithi yokugula kwengqondo efana ne-haloperidol (Haldol), i-perphenazine, ne-thioridazine; i-methazolamide; i-mexiletine; i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-propranolol (iHemangeol, i-Inderal, i-Innopran); i-sodium bicarbonate (Ingalo ne-Hammer Baking Soda, eZegerid OTC); kanye ne-warfarin (Coumadin, Jantoven). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-quinidine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma unesifo senhliziyo (isimo lapho amasiginali kagesi engadluliswa ngokujwayelekile kusuka kumagumbi aphezulu enhliziyo aye emakamelweni aphansi) noma uke waba ne-immune thrombocytopenia (ITP; idiopathic thrombocytopenic purpura; isimo esiqhubekayo esingahle kubangele ukulimazeka noma ukopha okulula ngenxa yenani eliphansi ngokungajwayelekile lamagazi egazini) noma i-myasthenia gravis (ukuphazamiseka kohlelo lwemizwa okubanga ubuthakathaka bemisipha). Udokotela wakho angakutshela ukuthi ungathathi i-quinidine.
• utshele udokotela wakho uma uke waba nesikhathi esilinganiselwe se-QT (isimo esandisa ingozi yokuhlaselwa ukushaya kwenhliziyo okungajwayelekile okungadala ukuquleka noma ukufa ngokuzuma); ukushaya kwenhliziyo okuhamba kancane; amazinga egazi aphansi we-calcium, i-magnesium noma i-potassium egazini lakho; noma isifo sesibindi noma sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-quinidine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-quinidine.

Ungaphuzi ijusi yamagilebhisi ngenkathi uthatha lo muthi. Ungashintshi inani likasawoti ekudleni kwakho ngaphandle kokukhuluma nodokotela wakho.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Quinidine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• isicanucanu
• ukuhlanza
• Inhliziyo
• imfiva
• isiyezi
• ubumhlophe
• ikhanda
• ukukhathala
• ubuthakathaka
• ukuqubuka
• ubunzima bokulala
• ukuthuthumela

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukukhala ezindlebeni noma ukulahlekelwa ukuzwa
• izinguquko zombono (ukungaboni kahle noma ukuzwela okukhanyayo)
• ukudideka
• ukopha okungajwayelekile noma ukulinyazwa
• ukulahlekelwa isifiso sokudla, isicanucanu, amehlo aphuzi noma isikhumba, ubuhlungu endaweni engenhla kwesokudla esiswini, noma umchamo omnyama

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukushaya kwenhliziyo okungajwayelekile
• isifo sohudo
• ukuhlanza
• ikhanda
• ukukhala ezindlebeni noma ukulahlekelwa ukuzwa
• izinguquko zombono (ukungaboni kahle noma ukuzwela okukhanyayo)
• ukudideka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzodinga ukunquma impendulo yakho ku-quinidine.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Cardioquin^®¶
• ICin-Quin^®¶
• UDuraquin^®¶
• I-Quinact^®¶
• Quinaglute^®¶
• Quinalan^®¶
• Isikhathi sokusebenza^®¶
• I-Quinidex^®¶
• I-Quinora^®¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.